Individual
ASHLEY WISCOVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MHC-LP
Contact information
Practice address
135 N 11TH ST APT 3B, BROOKLYN, NY 11249-1597
(917) 791-0084
Mailing address
135 N 11TH ST APT 3B, BROOKLYN, NY 11249-1597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P123503
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P123503
LIMITED PERMIT NUMBER
NY
Enumeration date
07/26/2023
Last updated
07/26/2023
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